Asuhan Kebidanan Berkelanjutan (Continuity Of Care) Pada Ny. W Dengan Ruptur Perineum Derajat I di Praktik Mandiri Bidan Ronni Siregar Kecamatan Sunggal Kabupaten Deli Serdang Provinsi Sumatera Utara Tahun 2025

Perineal rupture is a condition that often occurs during the labor process, both with and without assistive devices. Based on data from the World Health Organization (WHO),
the maternal mortality rate (MMR) in the world reached 289,000 people, with Southeast Asia occupying the fourth highest position at 16,000 people. In Indonesia, in 2020, cases of perineal rupture were experienced by around 83% of mothers who gave birth vaginally. Of the total 3,791 spontaneous deliveries, as many as 63% of mothers required perineal suturing, consisting of 42% due to episiotomy and 38% due to spontaneous tears. The purpose of this study was to identify the optimal midwifery care provided to mothers giving birth with perineal rupture using Varney's seven-step
management and recording progress with the SOAP method at PMB Rooni Siregar in 2025. The research method used in this study was midwifery care management based on Varney's seven steps and documentation of progress using the SOAP format. The results of the study on Mrs. W was in her third trimester of pregnancy and complained of fatigue. This complaint was successfully resolved with appropriate management. During labor, Mrs. W experienced a first-degree perineal laceration, which was sutured using a running suture technique. The postpartum period proceeded normally without any complications. The newborn was healthy and no problems were found. After the postpartum period, Mrs. W chose to accept the LAM (Laboratory Alignment) family
planning method. Conclusion: Midwifery care was implemented in accordance with Varney's seven-step management and SOAP (Soap) recording, which includes data collection, data interpretation, identification of potential diagnoses, anticipation of immediate action, planning, implementation, and evaluation.
Keywords: Midwifery Care, Childbirth, Perineal Rupture